睾丸缺血和可疑扭转(TWIST)评分联合彩色多普勒超声对小儿阴囊急症的诊断价值分析  

Testicular Ischemia and Suspected Torsion(the Diagnostic Value of TWIST)Score Combined with Color Doppler Ultrasound in Pediatric Scrotal Emergency

作　　者：朱宗永 黄晓英 陈敏 张美珍 高明照 林小惠 洪荣熙 ZHU Zong-yong;HUANG Xiao-ying;CHEN Min;ZHANG Mei-zhen;GAO Ming-zhao;LIN Xiao-hui;HONG Rong-xi(Department of Ultrasound Medicine,Shaxian District General Hospital,Sanming City,Fujian Sanming 365050)

机构地区：[1]三明市沙县区总医院超声医学科,福建三明365050

出　　处：《中国医疗器械信息》2024年第13期104-106,共3页China Medical Device Information

摘　　要：目的:探讨睾丸缺血和可疑扭转(TWIST)评分联合彩色多普勒超声对小儿阴囊急症的诊断价值。方法:选取2018年1月~2023年1月本院收治的74例表现为阴囊红肿或不适的阴囊急症患儿,对所有患儿采取TWIST评分,依照结果对总分3~4分的患儿进行彩色多普勒超声检查,分析所有患儿的单纯彩色多普勒超声图像特征,并与临床治疗证实结果和手术结果相关病理诊断对比,分析TWIST评分联合彩色多普勒超声对小儿阴囊急症的诊断价值。结果:74例阴囊急症患儿TWIST评分为1~7分,平均(3.46±1.32)分,其中,≤2分的低危患儿28例,3~4分的中危患儿41例,≥5分的高危患儿5例;病理结果表明,74例阴囊急症患儿中睾丸扭转6例,附睾炎67例,睾丸炎1例。彩色多普勒超声结果发现,6例患儿出现睾丸扭转,60例睾丸炎,6例附睾炎;超声诊断准确率为91.89%低于病理诊断准确率100.00%(P<0.05);TWIST评分联合超声诊断小儿阴囊急症的灵敏度、特异性分别为83.23%、94.14%,明显高于单一诊断(P<0.05)。结论:TWIST评分联合彩色多普勒超声对小儿阴囊急症具有较高诊断价值,诊断灵敏度、特异性较高。Objective:To explore the diagnostic value of TWIST score combined with color Doppler ultrasound in pediatric scrotal emergencies.Methods:In 74 cases of children with scrotal redness or discomfort who were admitted to our hospital from January 2018 to January 2023.TWIST score was taken for all children,children with a total score of 3 to 4 were examined by color Doppler ultrasound,the characteristics of pure color Doppler ultrasound images were analyzed,compared with the pathological diagnosis of clinical treatment and surgical results,and the diagnostic value of TWIST score combined with color Doppler ultrasound for pediatric scrotal emergency was analyzed.Results:The TWIST score of 74 children with scrotal urgency was 1-7 with an average score(3.46±1.32)points,28 cases of low-risk infants≤2 points,41 cases of moderate-risk infants 3-4 points,and 5 cases of high-risk infants≥5 points.The pathological findings showed that 6 patients had testicular torsion,67 epididymitis and 1 orchitis among 74 children with scrotal emergency.Color Doppler ultrasound found that 6 children had testicular torsion,60 orchitis and 6 epididymitis;The accuracy of ultrasound diagnosis:91.89%was lower than that of pathological diagnosis:100.00%(P<0.05);The sensitivity and specificity of TWIST score combined with ultrasound for diagnosis of pediatric scrotal emergency were 83.23%and 94.14%respectively,which were significantly higher than that of single diagnosis(P<0.05).Conclusion:The combination of TWIST score and color Doppler ultrasound has high diagnostic value,high diagnostic sensitivity and specificity for pediatric scrotal emergencies.

关 键 词：睾丸缺血和可疑扭转(TWIST)评分 彩色多普勒超声 小儿阴囊急症 睾丸扭转 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]